Organization
ROBERT P WAGNER DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT P WAGNER DMD (PRESIDENT)
40625491938
Entity
Organization
Contact information
Practice address
1216 16TH ST W, SUITE 34, BILLINGS, MT 59102-4100
(406) 259-1938
Mailing address
1216 16TH ST W, SUITE 34, BILLINGS, MT 59102-4100
(406) 259-1938
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13-7449
—
MT
05
—
5512573
—
MT
Enumeration date
06/15/2007
Last updated
08/22/2020
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